Ontology type: schema:ScholarlyArticle
1986-04
AUTHORSJohn R. Anderson, George H. Welch
ABSTRACTSixty-nine patients with acute volvulus of the right colon have been analyzed; the overall mortality was 19%. Nonviable colon was present in 20 patients; the mortality rate in these patients was 40%. When the cecum is viable, a combination of simple cecopexy and tube cecostomy was as effective as resection in preventing long-term recurrence. Cecopexy alone was followed by recurrence in 20%. In the presence of cecal perforation or a large area of confluent gangrene, resection with the formation of an ileostomy and a distal mucous fistula is the procedure of choice; resection with primary anastomosis should be avoided. When the gangrene is patchy, resection and primary anastomosis appears to be a safe procedure. More... »
PAGES336-341
http://scigraph.springernature.com/pub.10.1007/bf01658160
DOIhttp://dx.doi.org/10.1007/bf01658160
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PUBMEDhttps://www.ncbi.nlm.nih.gov/pubmed/3705613
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